Provider Demographics
NPI:1114693538
Name:KNAPP, ZACHARY AUSTIN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:AUSTIN
Last Name:KNAPP
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 W 6TH AVE UNIT 106-B
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6586
Mailing Address - Country:US
Mailing Address - Phone:720-541-6817
Mailing Address - Fax:
Practice Address - Street 1:6169 S BALSAM WAY STE 110
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3000
Practice Address - Country:US
Practice Address - Phone:303-948-1868
Practice Address - Fax:303-948-1741
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist